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FORM NO. 3.
MERICAN RED
BUREAU OF NURSING SERVICE
THE w HUMANITY GOOS
CREDENTIALS FROM TRAINING SCHOOL
ASHINGTON
2. I. Name Name of of applicant Training School Elizabeth U. Training Lehal.
3. Date of graduation Was course aug given 216-1915 in above - Length School? of course years
Location 1917 Wilson Aremie Juicing
If not, state where, giving
entire dates Training Yes
4.
Daily average number of patients in hospital during applicant's training 39 pts
5. Character of hospital:
6. Did this course General include General the care of men? yes- Special Contagious diseases? shildrens many Private Obstetrics? Yes
7. Are pupils sent out for private duty? no
If so, give length of time
8, What, if any, position of responsibility did applicant hold during her training?
Head- murse and operating room superner
9. Was her record satisfactory in regard to the following:
Work? Excellent
Health? very good
Conduct? Excient
IO.
II. wanted & rest-Ro did not accepty since graduation? Excellent
Was she employed in your hospital after graduation? applicant was offered a position -
What has been her standing as a nurse and a woman
12. Are Remarks: you willing to recommend her for Red Cross Service? you
Sibney R.apfall of Training School. R.,
Superintendent
Graduate of Hospotal Thing
Name and address of Superintendent under whom the applicant was trained:
Date Jane 19 d The 1917 above
Sidney K appell-Rin
1917 Cirlson
information will be considered confidential
This blank is to be sent direct to the Superintendent of Training School from which applicant graduated with
circular letter concerning same (Form No. 5)
Req. 17-109-Feb.-5000.
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"ocrText": "FORM NO. 3.\nMERICAN RED\nBUREAU OF NURSING SERVICE\nTHE w HUMANITY GOOS\nCREDENTIALS FROM TRAINING SCHOOL\nASHINGTON\n2. I. Name Name of of applicant Training School Elizabeth U. Training Lehal.\n3. Date of graduation Was course aug given 216-1915 in above - Length School? of course years\nLocation 1917 Wilson Aremie Juicing\nIf not, state where, giving\nentire dates Training Yes\n4.\nDaily average number of patients in hospital during applicant's training 39 pts\n5. Character of hospital:\n6. Did this course General include General the care of men? yes- Special Contagious diseases? shildrens many Private Obstetrics? Yes\n7. Are pupils sent out for private duty? no\nIf so, give length of time\n8, What, if any, position of responsibility did applicant hold during her training?\nHead- murse and operating room superner\n9. Was her record satisfactory in regard to the following:\nWork? Excellent\nHealth? very good\nConduct? Excient\nIO.\nII. wanted & rest-Ro did not accepty since graduation? Excellent\nWas she employed in your hospital after graduation? applicant was offered a position -\nWhat has been her standing as a nurse and a woman\n12. Are Remarks: you willing to recommend her for Red Cross Service? you\nSibney R.apfall of Training School. R.,\nSuperintendent\nGraduate of Hospotal Thing\nName and address of Superintendent under whom the applicant was trained:\nDate Jane 19 d The 1917 above\nSidney K appell-Rin\n1917 Cirlson\ninformation will be considered confidential\nThis blank is to be sent direct to the Superintendent of Training School from which applicant graduated with\ncircular letter concerning same (Form No. 5)\nReq. 17-109-Feb.-5000."
}